HomeMy WebLinkAboutNCG060348_MONITORING INFO_20200114STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
L� MONITORING REPORTS
DOC DATE
❑y �v l l /
YYYYMMDD
STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted 0A f 13I c W d
-7-T
CERTIFICATE OF COVERAGE NO. NCG060 3 Y SAMPLE COLLECTION YEAR X q
FACILITYNAME MICtIC011 `-ODU nVG
COUNTY kfi QX
PERSON COLLECTING SAMPLES �etlec.-[ (31a1,�.1V
LABORATORY�AV- ((l f,Y it ri Lab Cert. #
RECF!\✓r. K.
JAN 14 ZOzu
CENTRAL FILES
DVVR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE PERIOD ❑ Jan -June ❑ July-D��ec
or a Monthly' (e M OfX (month/
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow Water Supply ❑SA
[BOther C w
FACILITY ACTIVITIES INCLUDE (check all that apply):
]use/process meats 0 use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
II
Total event rainfall a 1) a or ❑ No discharge this period'
Outfall No.
Date Sample
Collected, mo/dd/yr
T55,-
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
-
100or504
Within 6.0 — 9.0
120
30
30001
5001
Parameter Code
-
C0530
00400
00340
00556
31616
61211
o
I.u3
I to
15
00
a
a o
a$.D
�- Iq
l0q045
-
Q)j0Z1q
0.
1.3
1
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes % no (if Yes, complete Part B)
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 1 of 2
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new motor oil/month.
Outfall No.
Date Sample Collected
(mo/dd/yr)
24-hour rainfall amount,
Inchesz
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
-
-
-
15 mg/L
100 mg/L or 50 mg/L4
Parameter code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
'FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES EO NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: (Yli_Ylll�/1
Mail an original copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results for at end of monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST 51GN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, anddccompleteam aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowif:e violations." 1
Datef3
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2
Environmental Chemists, Inc.
1 1 6602 V,indmill Nay, Wilmington, \C 28405 • 910.392.0223 L,ib • 910.392.4424 Fax
710 Bowsertown Road, illantco, NC 27954 • 252 473.5702 I ib/Fax
255-A Wilmington I lighway, Jacksonville, INIC 28540 a 910.347.5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS into a!envirunmenlalchentists.cum
American Skin, LLC.
Date of Report: Jan 08, 2020
Post Office Box 1445
Customer PO #:
Burgaw NC 28425
Customer ID: 08100003
Attention: Ray Talbot
Report #: 2019-21795
Project ID: Stormwater
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
19-55199 Site: Outfall Area 1
12/30/2019 7:29 AM Water Client
Test
Method
Results Date Analyzed
Oil & Grease (O&G)
EPA 1664
<5 mg/L
01/03/2020
Residue Suspended (TSS)
SM2540D
39.4mq/L
12/30/2019
COD
SM 5220D
76 mg/L
01/02/2020
Fecal Coliform
SM 9222D MF
1500 Colonies/100ml-
12/30/2019
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
19-55200 Site: Outfall Area 2
12/30/2019 7:32 AM Water Client
Test
Method
Results Date Analyzed
Oil & Grease (O&G)
EPA 1664
<5 mg/L
01/03/2020
Residue Suspended (TSS)
SM2540D
2&0mg/L
12/30/2019
COD
SM 5220D
109 mg/L
01/02/2020
Fecal Coliform
SM 92220 MF
245 Colonies/100ml-
12/30/2019
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
19-55201 Site: Outfall Area 3
12/30/2019 7:40 AM Water Client
Test
Method
Results Date
Analyzed
Oil & Grease (O&G)
EPA 1661
<5 mg/L
01/06/2020
Residue Suspended (TSS)
SM 2540 D
30.3 mg/L
12/30/2019
COD
SM 5220D
118 mg/L
01/02/2020
Fecal Coliform
SM 9222D MF
758 Colonies/100mL
12/30/2019
Comment: I)
Reviewed by: `i <
�.
Zi
Rewn c: 2019-91795
Windmill Way
ton,
ENVIRONMENTAL CHEMISTS, INC o E: 9143 2-02 3iiFAX997O 2-44245
Analytical & Consulting Chemists NCDENR: DWO CERTIFICATION 4 94 NCDHHS: DLS CERTIFICATION H 37729 Info®environmentalchemists.com
COI 1 FCTION ANrI CNAIN nF CI IQTnnv
Client: American Skin, LLC-Surgaw
PROJECT NAME: Storm Water -Due Monthly
REPORT NO:
ADDRESS:
CONTACT NAME:
PO NO:
REPORT TO: Ray Talbot
PHONE/FAX:
COPY TO:
email:
Sampled By:-�UQA4
t IVY 1 SAMPLE TYPE: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other:
Sample Identification
P
Collection
8
d
n
=
8
E o D
_
m e
o`
u° `—
o` S
u
o m
5 z
PRESERVATION
ANALYSIS REQUESTED
Date
Time
Temp
z
y
4§
c
`_
o
w
o
Outfall: I
I l J
Q
i f�
X
X
X
Oil & Grease, TSS, COD,Fecal
G
L
C
P
G
G
C
P
G
G
Outtall:
PINN
1:Parn
C
P
,S
r f .a
X
X
V
X
I
Oil & Grease, TSS, ,COD, Fecal
G
C
P
G
G
C
P
G
G
Outfall: 3
(? d
1 0
C
P
V'
U' f
X
X
X
Oil & Grease, TSS, ,COD,Fecal
G
= 1.39
C
P
G
G
Received
t
2.
Temperature when Received:_ Accepted: R jetted: Resample Re ted:
Delivered By:__.�C / Received By��/t Q D �Date: / ( Time: s— 4
Comments: